INTERNÍ AUDIT

ČIIA Membership Application Form

General information about group member:

2. Personal data of a representative of a company:

Which address do you want to be your mailing address?

	company domicile

Position in a company:

Branch/sector of the company?

	Banks and financial institutions Industry Public administration Audit and consultancy Other

How many internal auditors work in your company?

	1-5 5-10 10 - 25 25-50 more

How did you learn about CIIA?

	Personal recommendation
	CIIA Brochure
	Educational program of CIIA
	When participating on a CIIA ebeny
	Internet
	Conference Participation
	Group membership of company

Are you a member of the IIA?:

	YES/NO
ID:	(provide your ID please)

	Souhlasím se zasíláním obchodních nabídek, pozvánek na vzdělávací akce a informace o nových seminářích v souladu se zákonem č. 40/1995 Sb., o regulaci reklamy, ve znění zákona č. 138/2002 Sb. a zákonem č. 480/2004 Sb.
	I declare to adhere to the Code of Ethics

Red marked fields are required!